LifeNet International's Transformation of African Healthcare via Social Franchising Net Present Value (NPV) / MBA Resources

Introduction to Net Present Value (NPV) - What is Net Present Value (NPV) ? How it impacts financial decisions regarding project management?

NPV solution for LifeNet International's Transformation of African Healthcare via Social Franchising case study

At Oak Spring University, we provide corporate level professional Net Present Value (NPV) case study solution. LifeNet International's Transformation of African Healthcare via Social Franchising case study is a Harvard Business School (HBR) case study written by Ilan Alon, Raul Carril. The LifeNet International's Transformation of African Healthcare via Social Franchising (referred as “Lifenet International's” from here on) case study provides evaluation & decision scenario in field of Strategy & Execution. It also touches upon business topics such as - Value proposition, .

The net present value (NPV) of an investment proposal is the present value of the proposal’s net cash flows less the proposal’s initial cash outflow. If a project’s NPV is greater than or equal to zero, the project should be accepted.

NPV = Present Value of Future Cash Flows LESS Project’s Initial Investment

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Case Description of LifeNet International's Transformation of African Healthcare via Social Franchising Case Study

LifeNet International was a social conversion franchise concept aiming to provide basic, quality and sustainable healthcare to poor and underserved populations in sub-Saharan Africa. The founder and president had relied on the assistance of others to help bring about his idea of affordable healthcare. In 2012, the executive director for LifeNet International's operations in Burundi, began focussing on developing the company in Burundi. She was excited to see LifeNet International's presence expanding into Uganda. Her vision for LifeNet International, however, was much bigger. She envisioned LifeNet International as a sustainable organization that could provide quality healthcare and medicine to millions of people around the world.If it planned to expand internationally and bring healthcare to more of the world's population, LifeNet International needed a solution to tie its services together to further scale, replicate and measure its social impact. How could LifeNet International bring its social conversion franchising model to other African nations and internationally? Would LifeNet International's model work logistically, financially and culturally? What adaptations would LifeNet need to make and what legal challenges would it face in the process of expansion? Furthermore, what structures would LifeNet need to put in place to manage the complexity of its growing network of partner clinics and operations? Ilan Alon is affiliated with Rollins College.

Case Authors : Ilan Alon, Raul Carril

Topic : Strategy & Execution

Related Areas :

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Calculating Net Present Value (NPV) at 6% for LifeNet International's Transformation of African Healthcare via Social Franchising Case Study

Years	Cash Flow	Net Cash Flow	Cumulative     Cash Flow	Discount Rate @ 6 %	Discounted Cash Flows
Year 0	(10008288)	-10008288	-	-
Year 1	3464956	-6543332	3464956	0.9434	3268826
Year 2	3969672	-2573660	7434628	0.89	3532994
Year 3	3939746	1366086	11374374	0.8396	3307887
Year 4	3223212	4589298	14597586	0.7921	2553086
TOTAL			14597586		12662793

The Net Present Value at 6% discount rate is 2654505

In isolation the NPV number doesn't mean much but put in right context then it is one of the best method to evaluate project returns. In this article we will cover -

Different methods of capital budgeting

What is NPV & Formula of NPV,
How it is calculated,
How to use NPV number for project evaluation, and
Scenario Planning given risks and management priorities.

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Capital Budgeting Approaches

Methods of Capital Budgeting

There are four types of capital budgeting techniques that are widely used in the corporate world –

1. Profitability Index
2. Net Present Value
3. Payback Period
4. Internal Rate of Return

Apart from the Payback period method which is an additive method, rest of the methods are based on Discounted Cash Flow technique. Even though cash flow can be calculated based on the nature of the project, for the simplicity of the article we are assuming that all the expected cash flows are realized at the end of the year.

Discounted Cash Flow approaches provide a more objective basis for evaluating and selecting investment projects. They take into consideration both –

1. Magnitude of both incoming and outgoing cash flows – Projects can be capital intensive, time intensive, or both. Lifenet International's shareholders have preference for diversified projects investment rather than prospective high income from a single capital intensive project.
2. Timing of the expected cash flows – stockholders of Lifenet International's have higher preference for cash returns over 4-5 years rather than 10-15 years given the nature of the volatility in the industry.

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Formula and Steps to Calculate Net Present Value (NPV) of LifeNet International's Transformation of African Healthcare via Social Franchising

NPV = Net Cash In Flowt1 / (1+r)t1 + Net Cash In Flowt2 / (1+r)t2 + … Net Cash In Flowtn / (1+r)tn
Less Net Cash Out Flowt0 / (1+r)t0

Where t = time period, in this case year 1, year 2 and so on.
r = discount rate or return that could be earned using other safe proposition such as fixed deposit or treasury bond rate. Net Cash In Flow – What the firm will get each year.
Net Cash Out Flow – What the firm needs to invest initially in the project.

Step 1 – Understand the nature of the project and calculate cash flow for each year.
Step 2 – Discount those cash flow based on the discount rate.
Step 3 – Add all the discounted cash flow.
Step 4 – Selection of the project

Why Strategy & Execution Managers need to know Financial Tools such as Net Present Value (NPV)?

In our daily workplace we often come across people and colleagues who are just focused on their core competency and targets they have to deliver. For example marketing managers at Lifenet International's often design programs whose objective is to drive brand awareness and customer reach. But how that 30 point increase in brand awareness or 10 point increase in customer touch points will result into shareholders’ value is not specified.

To overcome such scenarios managers at Lifenet International's needs to not only know the financial aspect of project management but also needs to have tools to integrate them into part of the project development and monitoring plan.

Calculating Net Present Value (NPV) at 15%

After working through various assumptions we reached a conclusion that risk is far higher than 6%. In a reasonably stable industry with weak competition - 15% discount rate can be a good benchmark.

Years	Cash Flow	Net Cash Flow	Cumulative     Cash Flow	Discount Rate @ 15 %	Discounted Cash Flows
Year 0	(10008288)	-10008288	-	-
Year 1	3464956	-6543332	3464956	0.8696	3013005
Year 2	3969672	-2573660	7434628	0.7561	3001642
Year 3	3939746	1366086	11374374	0.6575	2590447
Year 4	3223212	4589298	14597586	0.5718	1842882
TOTAL					10447976

The Net NPV after 4 years is 439688

(10447976 - 10008288 )

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Calculating Net Present Value (NPV) at 20%

If the risk component is high in the industry then we should go for a higher hurdle rate / discount rate of 20%.

Years	Cash Flow	Net Cash Flow	Cumulative     Cash Flow	Discount Rate @ 20 %	Discounted Cash Flows
Year 0	(10008288)	-10008288	-	-
Year 1	3464956	-6543332	3464956	0.8333	2887463
Year 2	3969672	-2573660	7434628	0.6944	2756717
Year 3	3939746	1366086	11374374	0.5787	2279946
Year 4	3223212	4589298	14597586	0.4823	1554404
TOTAL					9478530

The Net NPV after 4 years is -529758

At 20% discount rate the NPV is negative (9478530 - 10008288 ) so ideally we can't select the project if macro and micro factors don't allow financial managers of Lifenet International's to discount cash flow at lower discount rates such as 15%.

Acceptance Criteria of a Project based on NPV

Simplest Approach – If the investment project of Lifenet International's has a NPV value higher than Zero then finance managers at Lifenet International's can ACCEPT the project, otherwise they can reject the project. This means that project will deliver higher returns over the period of time than any alternate investment strategy.

In theory if the required rate of return or discount rate is chosen correctly by finance managers at Lifenet International's, then the stock price of the Lifenet International's should change by same amount of the NPV. In real world we know that share price also reflects various other factors that can be related to both macro and micro environment.

In the same vein – accepting the project with zero NPV should result in stagnant share price. Finance managers use discount rates as a measure of risk components in the project execution process.

Sensitivity Analysis

Project selection is often a far more complex decision than just choosing it based on the NPV number. Finance managers at Lifenet International's should conduct a sensitivity analysis to better understand not only the inherent risk of the projects but also how those risks can be either factored in or mitigated during the project execution. Sensitivity analysis helps in –

What are the uncertainties surrounding the project Initial Cash Outlay (ICO’s). ICO’s often have several different components such as land, machinery, building, and other equipment.

What can impact the cash flow of the project.

What will be a multi year spillover effect of various taxation regulations.

What are the key aspects of the projects that need to be monitored, refined, and retuned for continuous delivery of projected cash flows.

Understanding of risks involved in the project.

Some of the assumptions while using the Discounted Cash Flow Methods –

Projects are assumed to be Mutually Exclusive – This is seldom the came in modern day giant organizations where projects are often inter-related and rejecting a project solely based on NPV can result in sunk cost from a related project.

Independent projects have independent cash flows – As explained in the marketing project – though the project may look independent but in reality it is not as the brand awareness project can be closely associated with the spending on sales promotions and product specific advertising.

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Negotiation Strategy of LifeNet International's Transformation of African Healthcare via Social Franchising

References & Further Readings

Ilan Alon, Raul Carril (2018), "LifeNet International's Transformation of African Healthcare via Social Franchising Harvard Business Review Case Study. Published by HBR Publications.